Healthcare Provider Details

I. General information

NPI: 1013836964
Provider Name (Legal Business Name): VERA START BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W POPLAR ST
ROGERS AR
72756-4440
US

IV. Provider business mailing address

516 N LARCHMONT BLVD
LOS ANGELES CA
90004-1306
US

V. Phone/Fax

Practice location:
  • Phone: 917-374-4215
  • Fax:
Mailing address:
  • Phone: 917-374-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY NAUMANN
Title or Position: CHIEF CLINICAL OFFICER
Credential: PSYD
Phone: 619-675-5459